Individual
DAKOTA RUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
150 CHARLES CT, NEWTON FALLS, OH 44444-1715
(330) 953-0243
Mailing address
33 VICTOR AVE, NILES, OH 44446-1634
(330) 953-0243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169971
OH
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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